Bill > S02237

This bill amends the social services law to provide coverage for certain individuals under the 1332 state innovation program. The key provisions include: 1. Authorizing the Commissioner of Health to establish a 1332 state innovation program, subject to federal approval, if it is in the financial interest of the state to do so. 2. Defining eligibility criteria for the 1332 state innovation program, which includes individuals residing in New York, under 65 years of age, not eligible for Medicaid or the Child Health Insurance Plan, and with household incomes between 133-250% of the federal poverty line. 3. Allowing the Commissioner of Health to establish application and enrollment procedures, premium payments, and cost-sharing obligations for the 1332 state innovation program, subject to federal approval. 4. Requiring the Commissioner of Health to select an independent actuary to study and recommend appropriate reimbursement methodologies for the cost of health care service coverage under the 1332 state innovation program. 5. Authorizing the Commissioner of Health to place limitations on enrollment for individuals ineligible for the basic health program due to immigration status, prioritizing enrollment based on income levels and certain population subsets. 6. Allowing the Commissioner of Health to seek additional federal approval for any monies associated with a reduction in the utilization of treatment for an emergency medical condition.